Jan 30,2018. PULSE: HIE Connectivity for Disaster Response Patient Unified Lookup System for Emergencies
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1 Jan 30,2018 PULSE: HIE Connectivity for Disaster Response Patient Unified Lookup System for Emergencies
2 PULSE Background
3 History 2013: California Emergency Medical Services Authority (EMSA) holds its first HIE in EMS Summit March 2015: the HHS Ideas Lab funds use case and technical architecture development of PULSE; detailed Patient Unified Lookup System for Emergencies report published January 2016: EMSA releases PULSE Development RFO January 2017: HHS IDEA Lab blog publishes PULSE post July 2017: PULSE Go-live April 2014: ONC Engages Ai to evaluate use of HIE infrastructure for disaster preparedness and response; HIE Services in Support of Disaster Preparedness and Emergency Medical Response report published July 2015: ONC awards EMSA a grant to advance HIE statewide during a disaster and regionally in daily EMS March 2016: EMSA awards Ai the PULSE Development contract February 2017: EMSA awards Ai the PULSE Operator contract
4 Recent Accomplishments June PULSE Tabletop Drill successfully completed DHV users (EMS providers) were able to login to PULSE, query patients, and view clinical documents July PULSE Operator contract completed Ai is hosting PULSE through July 2018 for to be activated for declared disasters by Cal EMSA October PULSE was activated to support disaster response for the Northern California wildfires November WIRED Magazine features PULSE as a solution for accessing medical records during emergencies. In the decade since Katrina, federal health officials have thought long and hard about how to take those walls down in the event of a national emergency. And earlier this summer, they actually finished the first big test of such a technology. Called PULSE, for Patient Unified Lookup System for Emergencies, it would allow disaster workers to find and view patient documents prescriptions, recent test results for anyone that walked into an emergency room, pop-up field hospital, or evacuation shelter. - December PULSE was activated to support disaster response for the Southern California wildfires Within one week, five organizations were rapidly onboarded to ehealth Exchange and connected to PULSE (Kaiser, Dignity, Sutter, CVS, Cottage, Providence)
5 Overview PULSE is designed to provide interconnectivity to enable provider organizations (including HIOs) and healthcare professionals to query for and view patient documents during disasters Specifically, PULSE: Authenticates Disaster Healthcare Volunteer (DHV/ESAR-VHP) providers to the PULSE Web Portal Allows disaster workers to query and view patient documents (e.g., C-CDAs) Federates queries and patient document requests to all connected HIOs
6 Technical Architecture
7 Development Overview PULSE Web Portal DHV integration for user authentication Patient query portal capability for providers Robust audit logs PULSE Message Gateway Federates and aggregates requests/responses Interfaces between Web Portal and message adapter services Leverages CTEN Directory Services and Connection Management Services
8 PULSE Demo
9 PULSE Expansion Considerations
10 Scale PULSE using ehealth Exchange & Carequality ehealth Exchange Carequality
11 PULSE Deployment Activities (1 of 2) 1. Align with The Sequoia Project s national PULSE governance model 2. Establish local PULSE governance policies (e.g., activation, onboarding, and testing procedures) 3. Fund provider organizations connectivity to national networks (i.e., ehealth Exchange and Carequality) This will allow querying and viewing of these organizations clinical data by PULSE users 4. Single sign-on system(s) integration From which system will PULSE users single sign-on from?
12 PULSE Deployment Activities (2 of 2) 5. Alignment with existing disaster response workflows This may require custom development 6. User training How will PULSE users be regularly trained to ensure effective use during a declared disaster? 7. Disaster response IT infrastructure Does proper infrastructure exist to ensure that PULSE users have internet connectivity and devices to use PULSE during a declared disaster? 8. Tabletop Drills These should be designed to fine-tune procedures and improve user training and IT infrastructure
13 Contact Us Jeremy Wong Director, Master Data Management Services Audacious Inquiry
14 Appendix PULSE Screenshots
15 DHV Single Sign-On
16 Select ACF
17 Patient Query
18 Patient Query Continued
19 Patient Staging
20 Document List
21 Clinical Document Review
22 Clinical Document Review
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